Individual
SHILOAH M EDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E LODGE RD, HIAWATHA, KS 66434-8565
(785) 685-0464
(785) 742-7752
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01226
KS
Other
Enumeration date
10/23/2020
Last updated
08/08/2024
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